IndividualActive
Deontae Bailey
NPI 1558220103 · Supports Brokerage Agency · Berlin, MD
Provider details
- NPI number
- 1558220103
- Entity type
- Individual
- Primary specialty
- Supports Brokerage AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
9824 Seahorse Ln
Berlin, MD 21811-2581
Phone: (302) 344-2255
Approximate (ZIP-level) locationGet directions
Mailing address
9824 Seahorse Ln
Berlin, MD 21811-2581
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.